Healthcare Provider Details

I. General information

NPI: 1952925885
Provider Name (Legal Business Name): INERTIA PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2020
Last Update Date: 08/18/2022
Certification Date: 08/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 GARSTON CT
STALLINGS NC
28104-0053
US

IV. Provider business mailing address

406 GARSTON CT
STALLINGS NC
28104-0053
US

V. Phone/Fax

Practice location:
  • Phone: 316-518-5095
  • Fax:
Mailing address:
  • Phone: 316-518-5095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE LEWIS HART
Title or Position: OWNER, MANAGER
Credential: PT, DPT, ATC
Phone: 316-518-5095